Arthritis due to <i>listeria monocytogenes</i>

Newman, James H.; Waycott, Sandra; Cooney, Leo M.

doi:10.1002/art.1780221016

Cited by 23 publications

(12 citation statements)

References 8 publications

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“…Problems may then occur as cephalosporins are not generally active against Listeria monocytogenes (22). There are also a number of cases of treatment failure with meningitis (22,31,40,58,73,74), and some patients with Listeria monocytogenes endocarditis and arthritis treated with high dose cephalosporins plus gentamicin have also failed to respond (2,75 …”

Section: Cephalosporinsmentioning

confidence: 98%

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Antimicrobial chemotherapy of human infection due toListeria monocytogenes

Jones¹,

MacGowan²

1995

Eur. J. Clin. Microbiol. Infect. Dis.

100

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Listeriosis is an uncommon infection, but when it occurs it carries a high mortality rate. Early diagnosis is essential and thereafter appropriate antimicrobial chemotherapy. Ampicillin or penicillin plus gentamicin remains the treatment of choice for most manifestations of listeriosis, and adequate doses must be given, i.e. greater than 6g/day of ampicillin or penicillin. Co-trimoxazole appears to be an excellent alternative agent with good penetration into the cerebrospinal fluid. Vancomycin is an appropriate agent for the treatment of primary bacteraemia but does not cross the blood-brain barrier sufficiently well to be useful in meningitis, while erythromycin may be used to treat listeriosis in cases of pregnancy. Treatment of bacteraemia requires one to two weeks' therapy, while meningitis cases may need to be treated for longer; for example, it has been found that most patients with acute meningitis in the UK were treated for 20 days. Infective endocarditis needs treatment for six to eight weeks. Doses should be varied with patients' altered organ function and antimicrobial serum monitoring performed when appropriate.

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Section: Cephalosporinsmentioning

confidence: 98%

“…Listerial septic arthritis has been described both in normal and prosthetic joints (2,(96)(97)(98)(99). Normal joints infected with Listeria monocytogenes have been successfully treated with ampicillin plus gentamicin for two weeks when combined with drainage plus irrigation (2).…”

Section: Antimicrobial Therapy Of Rarer Infective Manifestationsmentioning

confidence: 99%

Antimicrobial chemotherapy of human infection due toListeria monocytogenes

Jones¹,

MacGowan²

1995

Eur. J. Clin. Microbiol. Infect. Dis.

100

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“…It is now clear that L. monocytogenes causes a wide range of disease in man; this includes meningo-encephalitis, septicaemia, pneumonia, endocarditis, localised abscesses, cutaneous lesions, conjunctivitis, urethritis, an infectious mononucleosis-like syndrome (Gray and Killinger, 1966), hepatitis (Yu et al, 1982;Hardie and Roberts, 1984) and arthritis (Newman et al, 1979).…”

Section: Introductionmentioning

confidence: 99%

Aspects of the epidemiology of human Listeria monocytogenes infections in Britain 1967-1984; the use of serotyping and phage typing

McLauchlin

Audurier²,

Taylor

1986

Journal of Medical Microbiology

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Summary. Strains of Listeria monocytogenes from 475 cases of human listeriosis collected during [1967][1968][1969][1970][1971][1972][1973][1974][1975][1976][1977][1978][1979][1980][1981][1982][1983][1984], belonged to one of three serogroups (1/2,3 or 4). They were phage typed with a set of 28 phages to investigate three aspects of the epidemiology of listeriosis. (i) Three patients each had two episodes of listeriosis, 3 months to 2 years apart, with strains of the same serogroup and indistinguishable by phage typing.(ii) Ten episodes of possible cross-infection between pairs of neonates in the same hospital occurred; the first baby was ill at or within 1 day of birth, and the second baby became ill 8-12 days after contact with the first. In each pair the L. monocytogenes strains were of the same serogroup and indistinguishable by phage typing. (iii) In three clusters of cases there may have been a common source of infection. L. monocytogenes strains from 10 of 1 1 cases of listeriosis in the Carlisle area in Ju1.-Dec. 198 1 were of the same serogroup; nine strains were non-phage-typable. The second cluster involved four adults treated at one hospital and the third a pair of neonates who were ill shortly after birth. In each cluster, strains were of the same serogroup, and were indistinguishable by phage typing. These last two clusters occurred during a short period when an unusually high proportion of strains from all cases of human listeriosis in Britain were indistinguishable by phage typing from the cluster strains, suggesting the possibility of common source infection.

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“…Treatment of the natural joint infections varied and included cefoxitin,2 and ampicillin with chloramphenicol joint irrigation.3 The remaining case failed to respond to cephalothin and gentamicin, required joint drainage and irrigation, and ultimately responded to ampicillin and gentamicin. 1 One prosthetic joint infection was treated with intravenous ampicillin followed by lifelong oral amoxycillin.4 Management of the other infected prosthesis included surgical removal, followed by parenteral ampicillin with tobramycin, then ampicillin alone followed by oral co-trimoxazole for three months, and, finally, reimplantation of a new prosthesis.5…”

Section: Discussionmentioning

confidence: 99%

Listeria monocytogenes infection in a prosthetic knee joint in rheumatoid arthritis.

Booth

Walters

Tuck

et al. 1990

Annals of the Rheumatic Diseases

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The prosthetic knee joint of a 64 year old woman with severe rheumatoid arthritis was found to be infected with Listeria monocytogenes. After treatment with intravenous antibiotics, symptoms gradually resolved. She subsequently received prolonged treatment with oral co-trimoxazole and 18 months later remained well.Listeriosis is an uncommon cause of joint infection in rheumatology despite its predilection for the immunocompromised host. Listeria monocytogenes causes neonatal infections, septicaemia (resulting in a flu-like illness in pregnancy), and meningoencephalitis. There have been reports of listeria septic arthritis1-3 and two cases of infected prosthetic joints.4 5 No cases of listeria joint infection were found in a previous survey of non-prosthetic bacterial arthritis from this hospital.6Rheumatology Unit,

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Arthritis due to listeria monocytogenes

Cited by 23 publications

References 8 publications

Antimicrobial chemotherapy of human infection due toListeria monocytogenes

Antimicrobial chemotherapy of human infection due toListeria monocytogenes

Aspects of the epidemiology of human Listeria monocytogenes infections in Britain 1967-1984; the use of serotyping and phage typing

Listeria monocytogenes infection in a prosthetic knee joint in rheumatoid arthritis.

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